Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.90 / $342.90 / $342.90	Facility		$342.90	$342.90	$342.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $294.43 / $450.30	Professional		$218.29	$294.43	$450.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.66 / $77,999.99 / $94,999.99	Facility		$484.66	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.78 / $424.32 / $424.32	Facility		$237.78	$424.32	$424.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $424.32	Professional		$323.87	$323.87	$424.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.78 / $424.32 / $424.32	Facility		$237.78	$424.32	$424.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $333.79 / $498.01	Professional		$248.77	$333.79	$498.01
United Facility/Professional Professional Modifier Low / Median / High Price $326.76 / $326.76 / $347.00	Professional		$326.76	$326.76	$347.00